HARTZELL, AMY
NPI: 1104987593
· SPIRIT LAKE, IA 51360
· Dentist
· NPI assigned 12/12/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
316 |
$7K |
| 2019 |
133 |
$3K |
| 2020 |
59 |
$1K |
| 2021 |
45 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
325 |
309 |
$7K |
| D1110 |
Prophylaxis - adult |
119 |
113 |
$4K |
| D1206 |
Topical application of fluoride varnish |
93 |
84 |
$1K |
| D0274 |
Bitewings - four radiographic images |
16 |
13 |
$297.47 |